Complementary and Alternative Medicine Use in Uninsured Children in Texas

Sanghamitra M Misra1,2, Danielle Guffey1, Isabel Roth3

  • 11 Baylor College of Medicine, Houston, TX, USA.

Clinical Pediatrics
|May 19, 2017
PubMed

Insights

Complementary and alternative medicine (CAM) use is high in uninsured children and their parents. Most children using CAM have parents who also use CAM, yet few families discuss this with doctors.

Area of Science:

  • Pediatric Health
  • Complementary and Alternative Medicine
  • Public Health

Background:

  • National data indicates 12% of US children use complementary and alternative medicine (CAM).
  • Uninsured pediatric populations may exhibit higher CAM utilization due to limited healthcare access.
  • Previous research suggests specific demographics may have increased CAM use.

Purpose of the Study:

  • To investigate the prevalence of CAM use in an uninsured pediatric population.
  • To explore the relationship between parental and child CAM usage patterns.
  • To assess the frequency of CAM discussions between families and healthcare providers.

Main Methods:

  • A survey was conducted among 250 uninsured patients at a free pediatric mobile clinic.
  • Data collected included CAM usage by children and parents in the preceding 12 months.
  • Statistical analysis examined correlations between child and parent CAM use and physician discussions.

Main Results:

  • CAM use was reported by 45% of children and 59% of parents in the surveyed population.
  • A significant association was found: 91% of children using CAM had parents who also used CAM.
  • Physician discussions regarding CAM were infrequent, with only 3% of parents and 2% of children ever discussing it.

Conclusions:

  • CAM utilization is substantial within this uninsured, largely Hispanic pediatric cohort.
  • Parental CAM use strongly correlates with child CAM use in this population.
  • Healthcare providers should proactively inquire about CAM use due to low disclosure rates and significant utilization.

Related Concept Videos

Prescription, Nonprescription and Orphan Drugs01:02

Prescription, Nonprescription and Orphan Drugs

Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
1.3K
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.3K
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
341
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.1K
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.3K
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
293